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Payer Strategy

Hero image with the headline “CMS bumps MA rates after payer lobby pressure” above a stylized blue bar chart on a light blue background. Three labels at the bottom read “How payers might react,” “MA’s long-term future,” and “Implications for PSHPs.”

CMS bumps 2027 MA rate increase to 2.48% after payer lobby flexes muscle

The rate increase follows a familiar pattern of rate bumps between CMS’s initial proposal and the finalized rates. Payers, provider groups, and advocacy organizations flooded the agency with a record-breaking 47K public comments.

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Proposed flat rates for MA spark massive market reaction, calling into question the program’s trajectory

In late January, the stock prices of major MA-dependent payers like UnitedHealth and Humana plummeted more than 20%.

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Forum Insider | CRCOs Work the Revenue Cycle

THMA’s CRO Forum tackled mounting denials, payment delays, and payer frustration, offering fresh tactics to strengthen contracts and reclaim revenue flow.